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1821166281
JEFF GIBBONS
BURLEY, ID
NPI
1821166281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT1623)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- JEFF GIBBONS PT, DPT
2311 PARK AVE STE 2
BURLEY, ID 83318-2170
Phone number: 208-677-2489
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Mailing Address
-- JEFF GIBBONS PT, DPT
2311 PARK AVE STE 2
BURLEY, ID 83318-2170
Phone number: 208-677-2489
Copy
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